Individual provider Active NPI

Arash Bidgoli, DO

  • Physical Medicine & Rehabilitation Physician
  • Dallas, TX
National Provider Identifier
1710177555
Registry record updated Jan 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
N6180 Issued in TX
Practice address
3920 Wheatland Road, Suite 134
Dallas, TX 75237-3404
Phone
(214) 941-3192
Fax
(214) 941-3762
NPI assigned
Jul 27, 2007
Last updated
Jan 4, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X N6180 TX Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

3920 Wheatland Road, Suite 134
Dallas, TX 75237-3404

Mailing address

3920 Wheatland Road, Suite 134
Dallas, TX 75237-3404
Phone (214) 941-3192

Other identifiers 2

IdentifierTypeStateIssuer
282719801MedicaidTX
282719803MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 6, 2019 through Feb 6, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
N6180TXMDPhysical Medicine & Rehabilitation Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1185494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325635200000",
    "number": "1710177555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3920 WHEATLAND ROAD, SUITE 134",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752373404",
            "telephone_number": "214-941-3192",
            "fax_number": "214-941-3762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3920 WHEATLAND ROAD, SUITE 134",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752373404",
            "telephone_number": "214-941-3192",
            "fax_number": "214-941-3762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIDGOLI",
        "first_name": "ARASH",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-27",
        "last_updated": "2012-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "N6180",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "282719801",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "282719803",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.